| Personal Information | |||||||
| First Name: | (Required) | ||||||
| Middle Name: | |||||||
| Last Name: | (Required) | ||||||
| Present Address 1: | (Required) | ||||||
| Address 2: | |||||||
| City: | (Required) | ||||||
| State: | (Required) | ||||||
| Postal Zip Code: | (Required) | ||||||
| Country: | |||||||
| Permanent Address 1: | |||||||
| Address 2: | |||||||
| City: | |||||||
| State: | |||||||
| Postal Zip Code: | |||||||
| Country: | |||||||
| Best Way to Contact You | |||||||
| Phone 1: | (Required) | ||||||
| Phone 2: | |||||||
| Email: | |||||||
| Emergency Contact Name: | |||||||
| Emergency Contact Phone: | |||||||
| Are you authorized to workin the USA? | Yes No (Required) | ||||||
| Are you above 18 years of age? | Yes No (Required) | ||||||
| Position Desired: | Accountant (Required) | ||||||
| Date you can start: | (Required) | ||||||
| Salary Desired: | (Required) | ||||||
| Shift available to work: | (Required) | ||||||
| Are you able to work full-time? | Yes No (Required) | ||||||
| Will you work overtime if asked? | Yes No (Required) | ||||||
| Would you prefer part-time or full-time? | |||||||
| Are you currently employed? | Yes No (Required) | ||||||
| If so, may we contact your present employer? | Yes No (Required) | ||||||
| Have you ever applied to this company before? | Yes No (Required) | ||||||
| Where? When? | (Required) | ||||||
| Have you ever worked for this company before? | Yes No (Required) | ||||||
| Where? When? | (Required) | ||||||
| Reason for leaving the company: | (Required) | ||||||
| Name of last supervisor at this company: | (Required) | ||||||
| How did you find out about this opening? | |||||||
| Education, Training and Special Skills | |||||||
| Last Year completed: |
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| Other education, special training or Military training that may be relevant to the position you are applying for: | |||||||
| Subjects of special study or research work: | |||||||
| Special training, Certifications, licenses, machine operations: | |||||||
| Special skills, foreign languages, etc: | |||||||
| Typing speed WPM & Accuracy (if applicable) | |||||||
| Computer software used (if applicable) | |||||||
| CNC Machine controls used (if applicable) | |||||||
| Did you serve in the US Armed Forces? | Yes No | ||||||
| Branch: | |||||||
| Additional comments: | |||||||
| Have you ever been convicted of, plead guilty/no contest to, or had a suspended imposition of sentence for any offence (other than a minor traffic violation)? | (Required) | ||||||
| Professional references we may contact | |||||||
| Name: | |||||||
| Address: | |||||||
| Phone: | |||||||
| Additional Comments: | |||||||
| Name: | |||||||
| Address: | |||||||
| Phone: | |||||||
| Additional Comments: | |||||||
| List employment history, starting with most recent employment | |||||||
| Employer: | |||||||
| Address 1: | |||||||
| Address 2: | |||||||
| City: | |||||||
| State: | |||||||
| Zip code: | |||||||
| Phone Number: | |||||||
| Start Date: | |||||||
| End Date: | |||||||
| Weekly Starting Salary: | |||||||
| Weekly Ending Salary: | |||||||
| Supervisor Name: | |||||||
| Supervisor Title: | |||||||
| May we contact this employer? | Yes No | ||||||
| Title or Position: | |||||||
| Duties and Responsibilities: | |||||||
| Reason for Leaving: | |||||||
| Employer: | |||||||
| Address 1: | |||||||
| Address 2: | |||||||
| City: | |||||||
| State: | |||||||
| Zip code: | |||||||
| Phone Number: | |||||||
| Start Date: | |||||||
| End Date: | |||||||
| Weekly Starting Salary: | |||||||
| Weekly Ending Salary: | |||||||
| Supervisor Name: | |||||||
| Supervisor Title: | |||||||
| May we contact this employer? | Yes No | ||||||
| Title or Position: | |||||||
| Duties and Responsibilities: | |||||||
| Reason for Leaving: | |||||||
